Efficacy of Unweighing System During Over Ground Walking Versus Treadmill Training on Walking Speed in Spastic Diplegic Children
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 8
Abstract
Background: The ability to walk is a major concern of the parents of children with CP, the main problem in spastic diplegia is walking difficulty. Balance disturbance, muscle weakness, spasticity and deformities result in abnormal gait patterns typical for diplegic children. Objective: The purpose of this study was to compare the effect of unweighing system during over ground walking versus treadmill training on walking speed in children with spastic diplegic cerebral palsy. Methods: Twenty children with spastic diplegic C.P from both sexes, with Gross Motor Function Classification System levels (II & III) and mean age 7.4 years, participated in this study. They were classified into two groups, group (A) who received partial body weight support (30% weight release) with over ground walking and selected physical therapy program, and group (B), who received partial body weight support with treadmill training and selected physical therapy program. Walking speed was measured before and two months after treatment program through using Biodex Gait Trainer II. Results: The results revealed statistically significant improvement (P<0.05) in walking speed for both groups with insignificant difference between both groups. Conclusion: These findings suggested that unweighing system can be used during treadmill training or over ground walking to improve walking speed in spastic diplegic children while it is better to be used with over ground gait training.
Authors and Affiliations
Hamada S. Ayoub
Keywords
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